BOYTE CONG HOA xA HOI CHU NGHiA VIET NAM. . .DQc lip - T" do - H~nh phuc

S6:01 /2020/TT-BYT Ha N(ji, ngay16 thong 01 ndm 2020

THONGTUSira d8i, bB sung Thong ttr sB30/20181TT-BYT ngay 30 thang 10 nam 2018ciia BQ trmrng BQY t~ ban hanh Danh muc va tY I~, di~u ki~n thanh toandBi vOi thuBc hoa dmrc, sinh pham, thuBc phong x~ va ch~t danh d~u thuQc

pham vi dll'Q'Chll'O'ngclla ngll'Oi tham gia bao hi~m y t~

Can ctr Ludt baa hiem y tJ s6 25120081QH12 ngay 14 thang 11 ndm 2008ali duac sua a6i, b6 sung mot s6 Di~u thea Ludt s6 46120141QH13ngay 13thang 6 ndm 2014;

Can cu Nghi dinh s6 75120171ND-CPngay 20 thong 6 ndm 2017 cua Chinhphil quy dinh chtrc nang, nhiem v¥, quyen han va co cdu t6 chuc cua Bo Y tJ;

Thea a~ nghi cua V¥ truong V¥ Baa hidm y d,B(j truong B(j Y tJ ban hanh Thong tu sua a6i, b6 sung Thong tu s6

30120181TT-BYT ngay 30 thang 10 nam 2018 cila B(j truang B(j Y d ban hanhDanh m¥c va tY l¢, ai~u ki¢n thanh taan a6i vai thu6c h6a dU(Jc, sinh phcim,thu6c ph6ng xq, va chdt aanh ddu thu(jc phq,m vi aU(Jchuang cila nguai thamgia baa hidm y M,

Di~u 1.Sua d8i, bB sung mQt sB nQi dung hmyng dAn Clla Thong tll'sB30/2018/TT-BYT ngay 30 thang 10 nam 2018 clla BQ trll'O'ng BQ Y t~ banhanh Danh m\lc va tY I~, di~u ki~n thanh toan dBi vOi thuBc hoa dll'Q'c,sinhph~m, thuBc phong x~ va ch~t danh d~u thuQc ph~m vi dll'Q'Chll'O'ng cllangll'Oi tham gia bao hi~m y t~ (sau day gQi t~t la Thong tll' sB 30/2018/TT­BYT) nhu sau:

1. Sua d6i, b6 sung y thu chin diSm d khmln 1 UiSu 2 nhu sau: "TruOnghqp cO'sa kham b~nh, chua b~nh th\fc hi~n dich V\l ky thu?t duQ'c c:1pco thAmquySn phS duy~t thi duQ'c su d\mg thu6c dS th\fc hi~n dich V\lky thu?t do (baog6m ca nhfrng thu6c quy dinh t?i h?ng b~nh vi~n cao han). CO'sa kham b~nh,chua b~nh t6ng hqp, gui danh m\lc thu6c cho cO'quan bao hiSm xa hQi dS hImcO'sa thanh toan.".

2. Sua d6i, b6 sung diSm c khoan 1 UiSu 5 nhu sau: "US xu:1tva trinh BQtru6ng BQ Y tS ban hanh nguyen t~c, tieu chi xay d\fllg Danh mvc thu6c; C?Pnh?t, diSu chinh Danh m\lc thu6c bao dam dap (mg v6i nhu c&udiSu tri va philhqp v6i kha nang thanh toan cua Quy bao hiSm y tS.".

Di~u 2. Sua d8i, bB sung ten thuBc, dll'Ong dung, ghi chu clla mQt sBthuBc va mO' rQng h~ng b~nh vi~n clla mQt sB thuBc t~i Ph\l I\lc 01 Danh~

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muc thuBc hoa dll'Q'c, sinh pham thuQc pham vi dU'Q'chmrng cua nguoi tharngia bao hi~rn y t~ ban hanh kern theo Thong tir sB 30/20 18ITT -BYT nhu sau:

1. Sua d6i, b6 sung 05 ten thuoc nhu sau:

a) Sua d6i ten thu6c s6 thir nr 330 (cot s6 2) nhu sau: "Prothionamid";

b) Sua d6i ten thuoc s6 thir tu 425 (cot s6 2) nhu sau: "Pinene +camphene + cineol + fenchone + borneol + anethol";

c) Sua d6i ten thu6c s6 thir tu 449 (cot s6 2) nhu sau: "Etamsylat";

d) Sua d6i ten thuoc s6 thir tu 518 (cot 2) nhu sau: "Felodipin +metoprolol tartrat";

e) Sua d6i ten thu6c s6 thir tu 799 (cot s6 2) nhu sau: "Thiamazol",

2. Sua d6i dirong dung cua 03 thuoc nhu sau:

a) Sua d6i duong dung thuoc Imatinib s6 thir tu 390 (cot s6 3) nhu sau:"uong'';

b) Sua d6i duong dung thu6c Nilotinib s6 tlnr tu 391 (cot s6 3) nhu sau:"uong";

c) Sua d6i duong dung thuoc Dung dich loc mau dung trong than nhan tao(bicarbonat hoac acetat) s6 thir tir 889 (cot s6 3) nhu sau: "dung dich thamphan",

3. Sua d6i, b6 sung nQi dung ghi chu cua 16 thu6c nhu sau:

a) Sua d6i nQi dung ghi chu thu6c Imatinib s6 thu t\1'390 (cQt s6 8) nhusau: "Quy bao hiSm y tS thanh toan diSu tri b~nh b~ch c~u tUym~n (CML) ho~cu mo d~m d~ day fUQt(GIST); thanh toan 800/0.";

b) Sua d6i nQi dung ghi chu thu6c Nilotinib s6 thu t\1'391 (cQt s6 8) nhusau: "Quy bao hiSm y tS thanh toan khi diSu tri b~nh b~ch c~u tuy rn~n (CML)khong dung n~p ho~c khang l~i v6i thu6c Irnatinib; thanh toan 80%.";

c) B6 sung nQi dung ghi chu thu6c Lansoprazol s6 thu t\1'670 (cQt s6 8)nhu sau: "Quy bao hiSrn y tS thanh toan thea chi dinh trong to huang dftn sud\mg thu6c kern thea h6 sa dang Icy thu6c dff duqc c~p phep ho~c huang dftnch~n doan va diSu tri cua BQY tS ho~c chi dinh d\1'phong loet d~ day ta trang,xu~thuySt tieu hoa t~i d~ day, ta trang do stress a b~nh nhan h6i suc ttch c\1'c.";

d) Sua d6i nQi dung ghi chu thu6c Orneprazol s6 thu 1\1' 675, thu6cEsomeprazol s6 thu t\1'676, Pantoprazol s6 thu t\1'677, Rabeprazol s6 thu t\1'678(cQt s6 8) nhu sau: "Quy bao hiSm y tS thanh toan thea chi dinh trong to huangdftn su d\mg thu6c kern thea h6 sa dang Icy thu6c dff duqc c~p phep ho~c huangdftn ch:ln doan va diSu tri cua BQY tS ho~c chi dinh d\1'phong 10etd~ day ta trang,xu~t huYSttieu hoa t~i d~ day, ta trang do stress a b~nh nhan h6i suc ttch c\1'c.";

d) Sua d6i nQi dung ghi chu thu6c Tinh bQt este hoa (hydroxyethylstarch), s6 thu t\1'474 (cQt s6 8) nhu sau: "Quy bao hiSm y tS thanh toan diSu tr~

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giam thS tich tuan hoan do mfit mau cfip khi sir dung dich truyen don thuankhong cai thien lam sang; diSu tri diSu tri s6t xuat huyet Dengue nang theoHuang d~n chan doan va diSu tri s6t xufit huyet Dengue cua BQY te.";

e) B6 sung noi dung ghi chu cua 03 thuoc, bao g6m Atorvastatin s6 thir tu566, Fenofibrat s6 thir ur 571, Simvastatin s6 thir tu 577 (cot s6 8) nhu sau: "D6ivoi tram y tS xa, quy bao hiem y tS thanh toan theo huang d~n ch~n doan va dieutri r6i loan lipid mau cua BQY te.";

g) Sua d6i nQi dung ghi chu thuoc L-Omithin - L- aspartat s6 thir nr 729(cot s6 8) nhu sau: "Quy bao hiSm y tS thanh toan diSu tri benh nao do gan tirgiai doan 2 tro len theo h~ thong phan loai West Haven.";

h) Sua d6i nQi dung ghi chu thu6c Liraglutide, s6 thu t\1'787 (cQt s6 8)nhu sau:

"Quy bao hiSm y tS thanh toan 30% cho nguai b~nh dai thao duang tip 2dap Ung d6ng thai cac tieu chi sau:

- Tren 40 tu6i, BMI > 23, m~c dai thao duang tip 2, co b~nh ly tim m:;tchho~c tang huYStap;

- Khong kiSm soat duang huySt (HbA1C>9) sau thai gian 3 thang;- Suy th~n n6ng dQCrCl <59 ml/phut.";i) Sua d6i nQi dung ghi chu thu6c Immune globulin, s6 thu t\1'803 (cQt s6

8) nhu sau: "Quy bao hiSm y tS thanh toan diSu tri xufit huySt giam tiSu c~u t\1'miSn khong dap Ung v6i corticoid, hQi chUng Guillain Barre, b~nh Kawasaki;diSu tri nhiSm trimg n~ng co giam IgG; diSu tri thay thS cho b~nh nhan thiSu h\ltIgG; diSu tri b~nh tay-chan-mi~ng; diSu tri phO'i nhiSm sai, diSu tri sai khi cotinh tr:;tng nhiSm trung n~ng ho~c tinh tr:;tng suy ho hfip tiSn triSn nhanh ho~cviem nao theo huang d~n ch~n doan va diSu tri sai clla BQY tS.";

k) Sua d6i nQi dung ghi chu thu6c Ranibizumab s6 thu t\1'856 (cQt s6 8)nhu sau: "Quy bao hiSm y tS thanh toan diSu tri t:;tikhoa m~t Clla cac b~nh vi~nh:;tng d~c bi~t; b~nh vi~n chuyen khoa m~t h:;tng I, II; b~nh vi~n Hfru Nghi,Th6ng Nhfit va C Da N~ng d6i v6i d6i tuqng theo Huang d~n s6 52-HDIBTCTW ngay 02 thang 12 nam 2005 clla Ban T6 chuc Trung uong dang kYkham b~nh, chua b~nh bao hiSm y tS ban d~u t:;tib~nh vi~n.";

1) Sua d6i nQi dung ghi chu thu6c Galantamin, d:;tngtiem, s6 thu t\1'938,(cQt s6 8) nhu sau:

"Quy bao hiSm y tS thanh toan diSu tri:- B~nh ly th~n kinh ngo:;tivi lien quan dSn r6i lo:;tnv~n dQng trong truang

hqp nguai b~nh nQi tm;- Li~t v~n dQng sau khi m~c b~nh tllYs6ng;- Mfit kha nang v~n dQng sau dQt quy', li~t nao a tre em;- Li~t ruQt va bang quang sau ph~u thu~t;- Giai dQcAtropin va chfit tuong t\1'Atropin*

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Di~u 3. Hieu lire thi hanh,. .Thong tu nay co hieu lire thi hanh kS tir ngay 01 thang 3 nam 2020.

Di~u 4. Quy djnh chuyen ti~p

Truong hop ngiroi benh co the bao hiem y tS van nQi tru sau ngay 31thang 12 nam 2018 nhung tnroc ngay 01 thang 03 nam 2020 va con dang diSutri tai co sa kham benh, chua benh thi thuc hien thea quy dinh tai Thong tu s630/20 18/TT-BYT cho dSn khi ngiroi benh ra vien; bao g6m ca viec kS dan thuoccho ngiroi benh ngay sau khi kSt thuc viec diSu tri nQi tru,

Trong qua trinh thirc hien nSu co kho khan, vuong mac dS nghi cac co quan,t6 clurc, ca nhan phan anh b~ng van ban vSBQY tS dSxem xet, giai quySt.!.p

Nai nh~n:- Uy ban Cac vftn de xii hQi cua Quoc hoi (de giam sat);- Van phong Chinh phu (Vv KGVX; Cong baa; C6ngthong tin di~n tu);

- Ph6 thu tu6ng Vli Duc Dam (de baa cao);- Cac Thu trucrng;- Cac BQ, cO'quan ngang BQ, cO'quan thuQc CP;- Baa hiSm xii hQiVi~t Nam;- UBND cac tinh, thanh ph6 tl1Jc thuQc TW;- KiSm toan Nha nuac;- Sa Y t~ cac tinh, thanh ph6 tl1Jc thuQc TW;- Baa hiSm xii hQi BQQu6c phong;- Cvc KiSm tra van ban QPPL (BQ Tu phap);- Cac BV, Vi~n c6 giuOng b~nh tn,rc thuQc BQY t~;- Cvc Quan Y- BQP; Cvc Y t~ - BCA;Cvc Y t~ - BQGT - VT;

- Y t~ cac bQ, nganh;- Cac Vv, Cvc, TC, TTrB, VPB;- C6ng thong tin di~n tlr BYT;- Luu: VT, BH (02), PC (02).

Nguy~n TrU'(rng SO'n